Provider Demographics
NPI:1821714759
Name:SCHWENKE-GUZMAN, CAROLINE (MED, LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:SCHWENKE-GUZMAN
Suffix:
Gender:F
Credentials:MED, LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 JOYCE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-2734
Mailing Address - Country:US
Mailing Address - Phone:713-859-1109
Mailing Address - Fax:
Practice Address - Street 1:825 VILLAGE SQUARE DR STE 3
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-5083
Practice Address - Country:US
Practice Address - Phone:832-299-8863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
TX96302101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator